A simultaneous distal phalanx avulsion fracture with profundus tendon avulsion. A case report and review of the literature

Abstract

Avulsion injuries of the flexor digitorum profundus are fairly common injuries, yet simultaneous avulsion fractures of the insertion of this tendon associated with rupture of the tendon from the bony fragment is rarely described and is more complicated. In the 24-year-old athlete, the injury was classified according to the system of Leddy and Packer. The authors' method of treatment is also described. Similar cases presented in the literature are reported, with emphasis on pathomechanism, physical findings, and surgical repair method. In this rare injury, stabilization of the distal interphalangeal joint is necessary even at the expense of early motion.